精神分裂症不同时期的抑郁症状——附760例临床分析和治疗  

Depressive symptoms in schizophrenic different phases-anlaysis of clinical data of 760 cases.

作　　者：谭友果[1] 魏庆平[1] 陈勇[1] 罗毅平[1] 刘成文[1] 甘枝勤[1] 

机构地区：[1]四川省自贡市精神卫生中心,643020

出　　处：《中国神经精神疾病杂志》1993年第6期349-352,共4页Chinese Journal of Nervous and Mental Diseases

摘　　要：本文用GAS和HAMD量表检查了760例精神分裂症病人不同时期的抑郁症状。发现抑郁症状存在于精神分裂症整个病程中,其发生率以精神症状“缓解”期最高(37.86～39.13％),出院后1个月最低(7.40～8.00％),3个月后又升高(18.7～20.00％),以后6个月至3年则呈稳定状态(10.00～14.00％)。另外,还发现有抑郁症状的病人中有较高比例的生活事件,部分病人的抑郁症状住院2周后可缓解,用中小剂量抗抑郁剂治疗效好。Seven hundred and sixty patients depressive symptoms in schizophrenic different phases were examined by Global Assessment Scale (GAS) and Hamilton Depressive Scale (HAMD).It was showed that depressive symptoms existed in the whole course of the disease.The incidence was the highest in the psychosis symptoms remission term (37.86~39.13%),and was the lowest 1 month after discharged from hospital (7.40-8.00%).It rose 3 months later (18.70-20.00%) ,and stable in the succeding 6 months to 3 years (10.00-14.00%).In addition it was found that there was a higher frequency of mild daily life events in patients with depressive symptoms.The depressive symptoms of some of the patients may remit after two weeks of hospital and most of patients may respond to a smalldose antidepressant.

关 键 词：精神分裂症 抑郁症状 GAS量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]